Tell Us About You & Your Project
Contact Name (required)
Title
Name of Company/Organization (required)
Email (required)
Street Address
City, State & Zip
Business Phone
Mobile Phone (required)
Who in your organization will be responsible for your website?
Who is your target audience?
General description of your business or organization and any products/services you offer:
How long have you been in business?
Do you want visitors to be able to purchase goods and/or services through your website? If yes, please tell us about the type of goods and how they will be delivered.
If yes above, do you already have a merchant account with a financial institution?
Please list 3 of your main competitors and their website addresses (tell us a little something about them if you can):
What makes your company different or better than your competitors?
What will be the purpose of your website? Please list any special requirements:
Do you have a registered domain name for the new website? If so, what is it?
Do you alredy have a website? If so, what is the address (URL)?
If yes above, what do you want to do differently with your new website?
Will you need hosting? If you already have hosting please provide the name of your host and their website address:
Will you need to include video or audio on your website?
How many pages, excluding product pages if applicable, do you think you'll need? (Examples of pages include About Us, FAQs, Policies, Our Services, etc.)
Tell us what you like - list a few URL's of the websites you like and why you like them:
Do you have specific colors you would like used in the design? If yes, please list them:
Comments:
Please verify you are human:
